A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure

Joint Authors

Stibrant Sunnerhagen, Katharina
Svensson, Siv

Source

Rehabilitation Research and Practice

Issue

Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2012-11-18

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Medicine

Abstract EN

Background.

There is a need for tools to assess dependency among persons with severe impairments.

Objectives.

The aim was to compare the Functional Independence Measure (FIM) and the Northwick Park Dependency Score (NPDS), in a sample from in-patient rehabilitation.

Material and Methods.

Data from 115 persons (20 to 65 years of age) with neurological impairments was gathered.

Analyses were made of sensitivity, specificity, positive predictive value, and negative predictive value.

Agreement of the scales was assessed with kappa and concordance with Goodman-Kruskal’s gamma.

Scale structures were explored using the Rank-Transformable Pattern of Agreement (RTPA).

Content validation was performed.

Results.

The sensitivity of the NPDS as compared to FIM varied between 0.53 (feeding) and 1.0 (mobility) and specificity between 0.64 (mobility) and 1.0 (bladder).

The positive predictive value varied from 0.62 (mobility) to 1.0 (bladder), and the negative predictive value varied from 0.48 (bowel) to 1.0 (mobility).

Agreement between the scales was moderate to good (four items) and excellent (three items).

Concordance was good, with a gamma of −.856, an asymptotic error (ase) of .025, and P<.000.

The parallel reliability between the FIM and the NPDS showed a tendency for NPDS to be more sensitive (having more categories) when dependency is high.

Conclusion.

FIM and NPDS complement each other.

NPDS can be used as a measure for severely injured patients who are sensitive when there is a high need of nursing time.

American Psychological Association (APA)

Svensson, Siv& Stibrant Sunnerhagen, Katharina. 2012. A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure. Rehabilitation Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-497349

Modern Language Association (MLA)

Svensson, Siv& Stibrant Sunnerhagen, Katharina. A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure. Rehabilitation Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-497349

American Medical Association (AMA)

Svensson, Siv& Stibrant Sunnerhagen, Katharina. A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure. Rehabilitation Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-497349

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-497349